Mamatha Modem, M.D

NPI 1528174943 · on the registry since 2006

Practice

Address: 1400 N Westmoreland Rd
Dallas, TX 75211
Phone: (214) 266-0500
Organisation at this address: Bravo Smiles
Bravo Dental
Deharo Saldivar Health Center
Dallas County Hospital District
Dallas County Hospital District
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 31

Registry record

Primary taxonomy: 207RG0300X
207RG0300X
Also registered as: 207R00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas